101174(b)(1) · Disaster and Mass Casualty Plan (b) The plan shall be subject to review by the Department and shall include: (1) Designation of administrative authority and staff assignments.

Deficient Practice Statement Based on LPA file review, the licensee did not comply with the section cited above in one out of three staff files reviewed. Upon arrival to the facility, LPA met with S3 who did not have a LIC 308 completed. The director arrived 30 minutes later, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/09/2026

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.